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The Burning Platform: Improving Surgical Quality and Keeping Patients Safe
Pages 3-13
This book focuses exclusively on the surgical patient and on the perioperative environment with its unique socio-technical and cultural issues. It covers preoperative, intraoperative, and postoperative processes and decision making and explores both sharp-end and latent factors contributing to harm and poor quality outcomes. It is intended to be a resource for all healthcare practitioners that interact with the surgical patient. This book provides a framework for understanding and addressing many of the organizational, technical, and cultural aspects of care to one of the most vulnerable patients in the system, the surgical patient. The first section presents foundational principles of safety science and related social science. The second exposes barriers to achieving optimal surgical outcomes and details the various errors and events that occur in the perioperative environment. The third section contains prescriptive and proactive tools and ways to eliminate errors and harm. The final section focuses on developing continuous quality improvement programs with an emphasis on safety and reliability.
Surgical Patient Care: Improving Safety, Quality and Value targets an international audience which includes all hospital, ambulatory and clinic-based operating room personnel as well as healthcare administrators and managers, directors of risk management and patient safety, health services researchers, and individuals in higher education in the health professions. It is intended to provide both fundamental knowledge and practical information for those at the front line of patient care. The increasing interest in patient safety worldwide makes this a timely global topic. As such, the content is written for an international audience and contains materials from leading international authors who have implemented many successful programs.
The Burning Platform: Improving Surgical Quality and Keeping Patients Safe
Pages 3-13
Risk Factors and Epidemiology of Surgical Safety
Pages 15-24
Concepts and Models of Safety, Resilience, and Reliability
Pages 25-37
Surgery Through a Human Factors and Ergonomics Lens
Pages 39-50
The Relationship Between Teamwork and Patient Safety
Pages 51-66
Enterprise Risk Management in Healthcare
Pages 67-86
The Patient Experience: An Essential Component of High-Value Care and Service
Pages 87-100
Patients and Families as Coproducers of Safe and Reliable Outcomes
Pages 101-120
Tools and Strategies for Continuous Quality Improvement and Patient Safety
Pages 121-132
The Future and Challenges of Surgical Technology Implementation and Patient Safety
Pages 133-142
Organizational and Cultural Determinants of Surgical Safety
Pages 145-157
The Role of Architecture and Physical Environment in Hospital Safety Design
Pages 159-183
Building Surgical Expertise Through the Science of Continuous Learning and Training
Pages 185-204
Promoting Occupational Wellness and Combating Professional Burnout in the Surgical Workforce
Pages 205-224
Executive Leadership and Surgical Quality: A Guide for Senior Hospital Leaders
Pages 225-246
Information Technology Infrastructure, Management, and Implementation: The Rise of the Emergent Clinical Information System and the Chief Medical Information Officer
Pages 247-262
Redesigning Hospital Alarms for Reliable and Safe Care
Pages 263-275
Implementation Science: Translating Research into Practice for Sustained Impact
Pages 277-293
The Leadership Role: Designing Perioperative Surgical Services for Safety and Efficiency
Pages 297-311
Operating Room Management, Measures of OR Efficiency, and Cost-Effectiveness
Pages 313-325
The Science of Delivering Safe and Reliable Anesthesia Care
Pages 327-347
Enhanced Recovery After Surgery: ERAS
Pages 349-361
The Next Frontier: Ambulatory and Outpatient Surgical Safety and Quality
Pages 363-371
Human Factors and Operating Room Design Challenges
Pages 373-395
Diagnostic Error in Surgery and Surgical Services
Pages 397-412
Preventing Perioperative ‘Never Events’
Pages 413-448
Healthcare-Associated Infections in Surgical Practice
Pages 449-460
Safer Medication Administration Through Design and Ergonomics
Pages 461-478
Preventing Venous Thromboembolism Across the Surgical Care Continuum
Pages 479-491
Preventing Perioperative Positioning and Equipment Injuries
Pages 493-518
Challenges in Preventing Electrical, Thermal, and Radiation Injuries
Pages 519-553
Improving Clinical Performance by Analyzing Surgical Skills and Operative Errors
Pages 555-568
Perioperative Risk and Management of Surgical Patients
Pages 571-588
Managing the Complex High-Risk Surgical Patient
Pages 589-612
Geriatric Surgical Quality and Wellness
Pages 613-622
Patient Transitions and Handovers Across the Continuum of Surgical Care
Pages 623-634
Failure to Rescue and Failure to Perceive Patients in Crisis
Pages 635-648
A Quiet Revolution: Communicating and Resolving Patient Harm
Pages 649-664
It’s My Fault: Understanding the Role of Personal Accountability, Mental Models and Systems in Managing Sentinel Events
Pages 665-681
Capturing, Reporting, and Learning from Adverse Events
Pages 683-694
How Not to Run an Incident Investigation
Pages 695-714
Multi-institutional Learning and Collaboration to Improve Quality and Safety
Pages 715-722
Lessons Learned from Anesthesia Registries About Surgical Safety and Reliability
Pages 723-736
Use of Data from Surgical Registries to Improve Outcomes
Pages 737-751
How Regulators Assess and Accredit Safety and Quality in Surgical Services
Pages 755-783
The Perioperative Surgical Home: The New Frontier
Pages 785-797
Surgical Graduate Medical Education Program Accreditation and the Clinical Learning Environment: Patient Safety and Health Care Quality
Pages 799-816
Affordable Care Act, Public Legislation, and Professional Self-Regulation: Implications for Public Policy
Pages 817-826
Surgical Quality and Patient Safety in Rural Settings
Pages 827-836
Global Surgery: Progress and Challenges in Surgical Quality and Patient Safety
Pages 837-848
International Perspectives on Safety, Quality, and Reliability of Surgical Care
Pages 849-857
Surgical Safety in Developing Countries: Middle East, North Africa, and Gulf Countries
Pages 859-867
Future Directions of Surgical Safety
Pages 869-880
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